Active NPI
Said Raqib Sana, MD
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A78621
- Practice address
- 1809 National Ave
San Diego, CA 92113-2113 - Phone
- (619) 515-2300
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 30074 | IA | |
| Family Medicine Physician | 207Q00000X | 4353 | SD | |
| Family Medicine Physician | 207Q00000X | 19520 | NE | |
| Family Medicine Physician | 207Q00000X | 30074 | IA | |
| Family Medicine Physician | 207Q00000X | A78621 | CA | Primary |
Addresses
Primary practice location
1809 National Ave
San Diego, CA 92113-2113
Mailing address
1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3105
Other practice location 1
5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2400
Other practice location 2
1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0957563 | Medicaid | IA | |
| 42128384912 | Medicaid | NE | |
| 30612 | Other | NE | BCBS NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78621 | CA | MD | Family Medicine Physician |
| 19520 | NE | MD | Family Medicine Physician |
| 4353 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Mercy Medical Services | Family Medicine | Past | Accepting new patients |
Locations
5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1184982159
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Family Medicine Physician
- South Sioux City, NE
- NPI 1043251754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1184697559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 11TH ST",
"city": "HAWARDEN",
"state": "IA",
"postal_code": "510231903",
"telephone_number": "712-551-3105",
"fax_number": "712-294-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NATIONAL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921132113",
"telephone_number": "619-515-2300"
}
],
"practiceLocations": [
{
"address_1": "5454 El Cajon Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921153621",
"country_code": "US",
"telephone_number": "619-515-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 11TH ST",
"address_purpose": "LOCATION",
"city": "HAWARDEN",
"state": "IA",
"postal_code": "510231903",
"country_code": "US",
"telephone_number": "712-551-3105",
"fax_number": "712-294-7224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANA",
"first_name": "SAID",
"middle_name": "RAQIB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "30074",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "4353",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "19520",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "30074",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A78621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0957563",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42128384912",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE",
"identifier": "30612",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.